Provider Relations Representative I
Summary
Maintains and updates provider data, resolves discrepancies, and manages access to eligibility systems in a healthcare environment.
Provider Relations Representative I
Western Health Advantage
Location: Sacramento, CA (Hybrid)
Salary: $22.00 – $24.00 hourly
"Purpose that inspires. Impact that improves lives. Join us in building healthier communities."
Western Health Advantage
Western Health Advantage is seeking a Provider Relations Representative I to support accurate and compliant provider data management. This role is ideal for someone who enjoys data-focused work, problem-solving, and collaborating across teams in a healthcare environment.
What You’ll Do
Maintain and update provider data (additions, terminations, changes) with strong accuracy
Manage and respond to time-sensitive emails and requests
Research and resolve provider data discrepancies and issues
Support provider reporting, including monthly and quarterly deliverables
Provide and manage access to eligibility systems for providers
Assist with system testing (Facets) and website updates
Collaborate with internal teams, provider groups, and vendors
What You'll Bring
Associate’s degree in Business Administration or related field
2+ years of healthcare experience (HMO preferred)
Strong attention to detail and ability to manage multiple priorities
Intermediate skills in Excel, Word, email, and database systems
Experience with Facets is a plus
Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law. (EOE)
Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you — and excellent customer service for our members.